Active NPI
Kambria Beck Holder, MD
- Family Medicine Physician
- Kilauea, HI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD-21470
- Practice address
- 2460 Oka St Ste 101a
Kilauea, HI 96754-5308 - Phone
- (808) 828-2885
- Fax
- (808) 828-0119
- NPI assigned
- Jul 13, 2007
- Last updated
- May 31, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Family Medicine Physician | 207Q00000X | A101959 | CA | |
| Family Medicine Physician | 207Q00000X | MD-21470 | HI | Primary |
Addresses
Primary practice location
2460 Oka St Ste 101a
Kilauea, HI 96754-5308
Mailing address
PO Box 1158
Kilauea, HI 96754-1158
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Arizona College of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4643 Waimea Canyon Dr
Waimea, HI 96796
Phone (808) 338-1855
PO Box
Suite 487
Waimea, HI 96796
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 101959 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Permanente Medical Group Inc | Family Medicine | Current | Accepting new patients |
| Hoola Lahui Hawaii | Current | Accepting new patients | |
| Kauai Community Health Alliance | Current | Accepting new patients | |
| Kauai Community Health Alliance | Current | Accepting new patients | |
| Hoola Lahui Hawaii | Current | Accepting new patients |
Locations
1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015
901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500
2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000
710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400
7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000
975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000
2460 Oka St
Ste 101A
Kilauea, HI 96754
Phone (808) 635-2494
Interoperability endpoints
- https://api.platform.athenahealth.com/18530/brand/1/csg/1/fhir/r4
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Federally Qualified Health Center (FQHC)
- Waimea, HI
- NPI 1245269976
-
- Federally Qualified Health Center (FQHC)
- Kapa'a, HI
- NPI 1891098513
-
dba North Shore Wellness Center
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Kilauea, HI
- NPI 1417413576
-
dba Hale Le'a Medicine
- Community Health Clinic/Center
- Kilauea, HI
- NPI 1659531622
-
- Internal Medicine Physician
- Santa Clara, CA
- NPI 1073606299
Family Medicine
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Lihue, HI
- NPI 1225113442
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653955200000",
"number": "1689873184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1158",
"city": "KILAUEA",
"state": "HI",
"postal_code": "967541158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2460 OKA ST STE 101A",
"city": "KILAUEA",
"state": "HI",
"postal_code": "967545308",
"telephone_number": "808-828-2885",
"fax_number": "808-828-0119"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECK HOLDER",
"first_name": "KAMBRIA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-13",
"last_updated": "2022-05-31",
"certification_date": "2022-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A101959",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "HI",
"license": "MD-21470",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kilauea, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.